187979 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 363773 Page 1 of 1
ONE CIVIC SQUARE JOELLE OGLE
CHECK AMOUNT: $18.64
CARMEL, INDIANA 46032 9203 CROSSING DR
FISHERS IN 46037 CHECK NUMBER: 187979
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 REIMB 18.64 GENERAL PROGRAM SUPPL
Carmel e Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
�I �il� Ma��sh �fz�2�� �alz� ��es staff m 1 ►�af:� ��►��y
r roc
All receipts should be attached in the same order as listed above. r �f
No sales tax will be reimbursed. TOTAL: 1
i
Employee Name (print) J KI A
Address ��i� y'
Check �4 U`' 1 2
payable to' City, St, Zip SVI�� 1�1
Signature: Approved by:
Date: -71 l D Date: 74
Business Services Division, Revised 7 -7 -08
FILE: SharedlAdministrative \Forms\Staff Forms\Employee Exp Reimb Request
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
363773 Ogle, Joelle Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
715110 Reimb. Staff mtg supplies 18.64
Mileage 4/13 4130110
Total 18.64
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
363773 Ogle, Joelle Allowed 20
In Sum of
18.64
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. oNCCT #TTITLE AMOUNT Board Members
Dept
1082 -1 Reimb. 4239039 18.64 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
15 -Jul 2010
4 Adt
Signature
18.64 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund